Organization
HEALTHY HEARTS & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BEAL NP (FNP)
(708) 808-0540
Entity
Organization
Contact information
Practice address
2136 W 95TH ST STE 201, CHICAGO, IL 60643-1000
(773) 840-3922
(773) 409-9381
Mailing address
2136 W 95TH ST STE 201, CHICAGO, IL 60643-1000
(773) 840-3922
(773) 409-9381
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2021
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